Assassination Records Review Board
Final Determination Notification

AGENCY :. HSCA
RECORD NUMBER : 180-10068-10310
RECORD SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :

December 8, 1995

Status of Document: Postponed in Part

Number of releases of previously postponed information: 15

Reason for Board Action: The Review Board's decision was premised on several factors

including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United

States or to any individual.

Number of Postponements: 13

Postponements: All the postponements in this document represent Social Security numbers.

Reason for Board Action: The text is redacted because the public disclosure of the redaction could.

| reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the public interest.

Substitute Language: SSN

Date of Next Review: 2017

Board Review Completed: 10/24/95

ennedy dssassination
econds Collection Act of

992 [44 LISC 2107 Note,
aset- Nw 86326 Date:

NW 88326
Docld:32243276 Page 1

|
‘

‘NW 88326

& cae

2 7 os Date:08/20/93
Page:1
JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY : HSCA
RECORD NUMBER : 180-10068-10310

RECORDS SERIES :
STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

ORIGINATOR :
FROM :
TO :

TITLE :

DATE
PAGES

11/02/76
15

SUBJECTS :
HSCA, ADMINISTRATION
BLACKMEN, S. JONATHAN

DOCUMENT TYPE PRINTED FORM

CLASSIFICATION : U
RESTRICTIONS : 3
CURRENT STATUS : P

DATE OF LAST REVIEW : 07/07/93

OPENING CRITERIA

COMMENTS

Box #:1.

[R]) - ITEM IS RESTRICTED

| Decld:32243276 Page 2

Se ~ a ee ee we ee ee + a

PAYROLL AUTHORIZATION FORM . 7 .
(Please Use Typewriter 4__/ U.S. HOUSE GF REPRESENTATIVES ) (Any erasures, corrections, or changes

. tnt ES on this form must be initialed by the —
or Ballpoint Pen) Washington, D.C. 20515 authorizing official.)

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

| _ Employee Name (First-Middie-Last)

« Jonathan Blackmer

Effective Date _ ;

1/2/79 ©

‘

C Appointment
DO Salary Adjustment
0 Title Change ~

CO) Termination (At close of business on effective date)

243~74-578F7

Employing Office or Committee/Subcommittee

A Annies eile ades fodlitabiitetihanaenne ie a i ltd phe A

C1 Leave without pay (Beginning with effective date above and ending

Assascinaticons

close of business._____-§ > =» = )
_ Specify Date

{If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

Position Title Gross Annual Salary *

__ * If emoloyee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.)

1. (1 Standing Committee: Staff—C] Clerical or £1 Professional.

o.
ey

ak
2x] Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Rese of @©™ Congress.
3. O Joint Committee. .

(If Employee of an Officer of the House, complete item below.)

Position Number | If applicable, Level_

| certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
. relatives.

Date. January 2 . i978

(Signature of Authorizing Official)
LOUIS STORES

{Type or print name of Authorizing Official)

CHATRMAN

All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.

APPROVED:

Office of Finance use only:

Office Code

a elaeltataateetteates , Benefits___________ |

Monthly Annuity $ __00 as of

‘NW 88326 _ Copy-for. Initiating Office. or Committee

(Docld:32243276:Page3 =. tsi ee ee ee

Employee Social Security Number Type of Action .

(Revised: August 1, 1977}

ar oe .: a ae toa ae ety ye oe
ae a ltl aaah a ke ee lt ete ele tt Lo te EE alton a ow,

Nees a el a ah ea

we E Ne

PAYROLL AUTHORIZATION FOP. aaa
(Please Use Typewriter =" U.S. HOUSE -OF REPRESENTATIVES" (any erasures, corrections, or changes.
or Ballpoint Pen) _ Washington, D.C. 20515. this form must be initialed by the

authorizing official.)
To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

__Emptoyee Name (First-Middle-Last) _ |} Effective Date os a

$. is hathoan Blackser Hevember 1, 1978

. Employee Social Security Number So Type of Action 3

263-974-5737 D Appointment
‘2 Salary Adjustment

Employing Office or Committee/Subcommittee . C Title Change

; . OO Termination (At close of business on effective date)
Assassinations C1 Leave without pay (Beginning with effective date above and ending

close of business
Specify Date

(If type of « action is an Appointment, Salary. Adjustment, or Title Change, complete appropriate information below.)

_ Position Title .

Gross Annual Salary *

$27,100.00

* If emoloyee is is a civil service annuitant (includes, U.S. House of. Representatives), the gross annual salary shown should include the annuity received by the-employee -

plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.)

1. Oo Standing Committee: Staff—O) Clerical or L) Professional.

hod
au
e
:

2. Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res. 255_ 2 215% Congress.

3.0 . Joint. Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number_

relatives.
Novemner & jo#e
Date. / 9 7
(Signature of Authorizing Official)
on en ene nnn nnn LOUIS SPORES
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member). -~ : : (Type or print name of Authorizing Official)
oe woe eee ee _ Chairar &
(Type or print name and title of above oHficial : {Title- If Member, District and State)

FFT mer Ee me ew nee me meme meme ae ee a mn nn em nme me .

All appointments. and salary adjustments for-employees under the House Classification Act and: for Committee em:

_ ployees, except those of. the.Committee on Appropriations, the Committee on the. Budget, and -the joint Committees, must.”

be approved by the Committee on House Administration.

APPROVED:

Chairman, Committee on House Administration

Office of Finance use only:
Office Code

(Revised: August 1, 1977)

| certify that this authorization-is not in violation. of 5 USC Nl), prohibiting | the employment of

wetctaadine Aad,

woe hate

PAS

cn

. ayy Qe er 2 ‘
rath beet Math athe Mabel bel ett ee

BA a oe iota

fees ye MAAN

share Bae Toy

an rn wpe
Bednar Se ted a Bw ae att ake

. wy tas ett
eda eA eeeh sad

- , — oo oT ~ ;
| Nw 88326 : ee a
| Docld:32243276 Page 4 : ro :


PAYROLL AUTHORIZATION FORM

..- ,(Piease-Use Typewriter . - U.S. HOUSE OF REPRESENTATIVES © . (Any. erasures, corrections, or changes: - »

“or Ballpoint Pen) - Washington, D.C. 20515 on this form must 7 initialed by the

To the Clerk of the House of Representatives:
| hereby authorize the following payroll action: a - 7 7
Employee Name (First-Middle-Last)- aa ____. Effective Date

S$. Jonathan Slacker . 5/1/78 oe
: a Employee Social Security Number - 8 : Type of Action — . fo.

243~74-5787 CI Appointment

Salary Adjustment

. Employing Office or Committee/Subcommittee | CO Title Change

O Termination (At close of business on effective date)

. Assassin ati Ons O) Leave without pay (Beginning with effective date above and ending

close of business

Specify Date ; 4

_ {If type-of action is an Appointment, Salary Adjustment, or-Title Change, complete appropriate information below.)
. __ Position Title - _

$25,700

- * Kf employee i is a civil service. annuitant (includes- U.S. House of Representatives), the gross annual. salary shown should include the annuity received by the employee
plus the salary received from the employing office.

Gross Annual Salary*

(If Committee Employee, complete appropriate item below)

1.0 Senne Committee: Staff—O) Clerical-or LO) Professional.

3. O Joint Committee.

(if Employee of an ‘Officer of the House, complete item below.)

Position Number If applicable, Level_

. | certify that this authorization is ‘not. in. violation of 5 U.S.C. 311 0(b), Prohibiting: the employment: of
relatives. vs

(Signature of Authorizing Official)

“7 LOUIS STOKES

Ny or r nome of Authorizing Official)

SHAT REN

- All-appointments and salary adjustments for employees under. the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the- Committee. on the Budget, and.the Joint Committees, must.
be approved by the Committee on House Administration.

we Ma a ae

APPROVED:

Chairman, Committee on House Administration

Office of Finance use only:

Office Code | | | ; ;

(Revised: August 1, 1977)

hen.

a : oa . . . es - ee ee ee
yay tee a : — - - ee we —~

NW 88326 or |
Docld:32243276 Page 5 . oo |

cnt Ne

PAYROLL AUTHORIZATION. FORM a |
a Please"Use Typewriter, U.S. HOUSE OF REPRESENTATIVES ‘Any erasures, corrections, or changes
; or Ballpoint Pen) Washington; D.C. 20515  . - —-—~=snmts this form must be initialed by the

authorizing official.)

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

Employee Name (First-Middle-Last)

S. Jonathan Baackmer . de

. . Employee Social Security Number

. Effective Date

April 1, 1978
Type of Action ~

(1 Appointment
Salary Adjustment
- | © Title Change

oO. Termination (At close of business on effective date) — -

243~ 7465787 | .
_ .- Employing Office or Committee/Subcommittee -

Assassinations

C teave without pay (Beginning with effective date above and ending

close of business . )

Specify Date

(if type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information ‘beiow.) ~~

“Position Title _ Tt

Gross Annual Salary*

$13,700.90

plus. the salary received from the employing office.

(If Committee Employee, complete appropriate item:below.)
-1. O Standing Committee:*Staff—O] Clerical-or 1] Proféssional.~ ‘
3. O Joint Committee. = i

-: (If Employee of. an Officer of the ‘House, complete item below:)::”-

Position Number 2202 If applicable, level__.____.:Stepo.

' . ° ¢elatives.

ae a ane
|. March 22 78 A
aoe. ¥ : . o . aire .
) Date EER 66 ce we I LG OE
: Ce . : : : a “s (Signature of Authorizing Official)
| ane ene en een” WZ EOUIS STORES
; ‘(If appropriate,’ signature of Subcommittee Chairman’or Ranking‘ Minority Member) ~ ° -- oor Type or print namie of Authorizing Official)
. . io .
eee a ee we nee on ee ——e eee me 2... CHAIRMAN
. {Type or print name and title of above official) - , af ; : (Title - If Member, District and State)

_ All appointments and salary.adjustments for employees: under the House Classification Act and -for Committee em-

be approved by the Committee on House Administration.

APPROVED:

Chairman, Committee on House Administration

.| Office of Finance use only: oe

© Monthly Annuity $_

| Docld:32243276 Page 6

a *.1f emoloyee-is-a civil service annuitant (includes U.S: House of Representatives), the gross annual salary shown should include the anniity -eceived by the employee **

ee as 2. Lit Special. (Investigative staff of Standing Committee)-or Select Committee: ‘Authority—H. Res. 296 | of 23h congress.” weed

wei. do certify that this. authorization -is -not-"in« violation -of’’5 U'S-€, 23110(b);: prohibiting the employment of es

ployees, except-those of the Committee on Appropriations, the Committee on the: Budget, and the Joint Committees, must 2 -

1 Tye : wy weve. Ft 5 Mea te Ff ao ble gee 2 ee: j
Etta etn he haa dae Et neh ee a cnet eg eA SAN at Sines at EE owt ata nwt Tbe nent om {

Fianna are deals accel absentia ee nae ER a

. Lote : Pe ee g tes an aoa
Se a kl ce te co we et La a ite Aine let eB

y
i

met Ne

i
H
{
'
t
i

PAYROLL AUTHORIZATION FORM -_ ‘

(Please*Use Typewriter -  . U.S. HOUSE OF REPRESENTATIVES. ~ on this form must be initialed by the ere

B . ay on this us i y 4

or Ballpoint Pen): Washington, D.C. 20515 authorizing official.) 4

To the Clerk of the House of Representatives: “
| hereby authorize the following payroll action: SO ee
Employee Name (First-Middle-Last) 2 =. ~ 7... Effective Date: 3

So vonathan Sdackmer — April 1, 1978 | os

- _ Employee Social Security Number a Type of Action — AS
an C1 Appointment 3

243-7 h—-57 37 A) Salary Adjustment 4

Employing Office or Committee/Subcommittee oe o Title Change 7 ed

. « . g Termination (At close of business:on effective date) ij

- : ; Assassinati ais. C) Leave without pay (Beginning with effective date above and ending o
close of business... LL ) 4

Specify Date -

(If typeof action is an. Appointment, Salary Adjustment; or Title Change, complete appropriate information below.) ;
Position Title a Gross Annual Salary* :
ee $13,790.90 ‘
-* If emoloyee:is a-civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown-should include the anniity received by the employee’ ~~ ~ 2
plus the salary received from the employing office. . Q
(If Committee Employee, complete appropriate item below.) : :
. O Standing Committee: Staff—O Clericalor CL Professional. ;

2. Gh Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res. 220 9 § 22 EF congress :

3. O Joint Committee. ;

(If Employee of an Officer of the House, complete item below.) 3

. Position Number If applicable, Level

\--certify that this authorization is not in’ violation. of 5: U.S.C._3110(b), ‘prohibiting the employment of ae

relatives.
é
March 22 78

Date____..- 8 ee. a) PRE Co.
_ : ae ~ “(Signature of Authorizing Official} a

oo ae AOUIS STOKES . -

(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member) a (Type or print name of Authorizing Official) a - ; a

‘ CHAIRS SAN .
(Type or print name and title of above official) oe a “Title if Member; District and State)

All appointments and salary adjustments for employees: under the House Classification Act and-for Committee em- -
'. ployees, except those of the Committee on Appropriations, the Committee on the Budget, and: the Joint Committees,“must
be approved by the Committee on House Administration.

Chairman, Committee on House Administration

APPROVED: | vt

Office of Finance use only:

Office Code

be. ve . _ eee : ewe ae

hy a ns
NW 88326 : | . ae

Docid:32243276 Page 7

met

PAYROLL AUTHORIZATION FORM

or Ballpoint Pen). - Washington, D.C.20515 = an this form must be initialed by the pe

authorizing official.

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

- ‘Employee Name (First-Middle-Last). - _ vt To ; oo = Effective Date ~~
§. Jonathan Blackwer a 1/77

Employee Social Security Number ~~ ~*(| ‘Type of Action

Z43=74-5787 ] Appointment

Employing Office or Committee | BBSclary Adjustment

Assassinations L]} Termination (At close of business on effective date)

(if type of action is an Appointment or Salary Adjustment, complete the following information.)

Position Title | Gross Annual Salary

‘Staff Counsel | $25, 700

(If Committee Employee, complete appropriate item below.)

1. Standing Committee: Staff—[_] Clerical or [_] Professional. —
2. 4) Special or Select Committee: Authority —H. Res. 455 of _35€R Congress.

3. LJ Joint Committee.

(If Employee of an-Officer of the House, complete item below.)

Position Number If applicable, Level_

relatives.
Date _Roverber 7 i9 IT ett os -
rd — : (Signature of Authorizing Official]
“fouls stokes eee
- (Type or print name of Authorizing Official)
<
a Chairman _ _
eb a . ; , a {Title~IF Member, District and ¢ State) . ;

be. approved by the Committee on House Administration.

Chairman, Committee on House Administration

APPROVED:

Office of Finance use only:

Office Code

Copy for Initiating Office or Committee...

pce ee

'| NW 88326 ne ao
| Docld:327243276 Page & : Oo

-(Please-Use Typewriter: © - “U. S. HOUSE OF REPRESENTATIVES. (Any erasures, corrections, or changes...” --

et ARERR OEE

seve haar eden itn shomenate nara, ratmrnantstine

-.+-certify that this authorization is not in violation of 5 U.S.C. UO). prohibit, the employment of - .° -

All appointments and salary adjustments | for employees under the House Classification Act’ and-for. Committee @m- >" ° >
-. ployees, except those of the Committee on Appropriations, the Committee on the: Budget, and the: Joint ‘Committees; must - 7". : =

joes samen neiniaduneiervat ites nnieiin A eben tenet te phd emda est ne
ee _


To: Thomas Howarth, Budget Officer - 7 ang
-.From:. G. Robert Blakey, Chief Counsel and Staff Director’ | & i)
Date: November 7, 1977 Pare ple D> |

Rez salary Adjustment, --one year anniversary

“Adjust the salaries of the. folowing individuals, as ‘indicated

. effective November 13 “1977
an Employee a - present satin: gy 7. 05%. Increase | Mele

Akers —ss—“‘“iz$24,000 $1, Joo =-—SSCS«é$ 25 700
Blackmer - 24,000 15700-25700
Gay 36,000 2,500. 38,500 e—
Hess - 26,000 0 7,800 , 27,800

_ McPherson 16,000 -— . ee PTOO 7100 | ia
‘Orr, Patricia 17,500 1,200 oo 185700 a

| ‘NW 88326
-Bocld:32243276 Page's ©


EEE Eee NN eee a a

PAYROLL AUTHORIZATION FORM os

- «. (Please-Use Typewriter” a U. S: HOUSE: OF. REPRESENTATIVES .. ' (Any. erasures, corrections, of changes:: --*

. ; . co on this form must be initialed by the
or Ballpoint Pen) Washington, D.C. 20515 authorizing official.)

‘To the Clerk of the House of Representatives:

! -- | hereby authorize the following payroll action:

“Employee Name (First-Middle-Last) | Effective Date

dele dE Re i aie ta

%

3. Jonathan Blackwer | . — BfTF ; ee ty
Employee Social Security Number) © - Type of Action. i

243— 74-8 787 (] Appointment

Employing Office or Committee _Giselary Adjustment

wien Rt haat

{_] Termination (At close of business on effective date}

Assassinations

- (If type of action is an Appointment or Salary Adjustment, complete the following information)”: ©
- ; . Position Title nl _ Gross Annual Salary ;

Staff Counsel 24,000

(If Committee Employee, complete appropriate item below.) .

da Cale Xia iWeb dace 8

vB deta Santi oa:

athena

Lo Standing Committee: Staff—[-]-Clerical or E 1 Professional De = ; co qT

wae 72" Congress. ee oo og \

wie bead Skea ee

2. ry [**] Special or Select Committee: Authority—H. Res.
3. [| Joint Committee.

(If Employee ofan Officer of the House, complete item below.) * °° aN

Position Number : If applicable, Level

1. certify -that: ‘this: ‘authorization is not in: violation: of °5- USC: S10), “prohibiting the: employment--of <<
relotives ue } ee

. Alkappointments and salary adjustments for employees: under :the: House Classification Actvand. forCommittee: ems vs +
‘ployees;: exceptsthose: of the Committee -on:Appropriatioris; the Committee: ‘on: the: Budget; and: the Joint Committees, must 26548
-.be approved by the:Committee.on. House Administration. eS aE a,

APPROVED:.

- Chairman, Committee o on House ‘Administration -

Office of Finance:use:only: ~::

Office Code._

xy : yy . . . . . .
LFW Wa SFOR Oe TOTO PSE OLE ONE SITE TT OO URTOE SE ROS MEETE:TTAES PO SOO a ae et ceeds ak aaa ot asl hana eae noe Ton wae le assualt


NW 88326 pote
Docld:32243276 Page 11 . .

PAYROLL AUTHORIZATION. FORM ~ -

- (Please Use :Typewriter®:~ ‘U. S. HOUSE OF REPRESENTATIVES © © (Afy erasutes, corrections, or changes"

on this form must be initialed by the

or Ballpoint Pen) ‘. - ‘Washington, D.C. 20515 authorizing official.)

To the Clerk of the House of Representatives:

‘| hereby authorize the following payroll action:

Employee Name (First-Middle-Last) mE fous ; a 7 Effective Date ae a : ) .

BAT
= Type of Action
C) Appointment

Employing Office or Committee . | &ySolory Adjustment

[J Termination (At close of business on effective date)

Assassinations

(If type of action is an Appointment or Salary Adjustment, complete the following information.) - °°

Position Title - | oo Gross Annual Salary oo _ |

$18,000

(If Committee Employee, complete appropriate.item below.)

. OO Standing Committee: Staff—[.] Clerical or [_] Professional.’
: S65 - of S5tR Congress.

2. [x] Special or Select. Committee:-Authcrity—H. Res.
3. L_] Joint Committee.

(If Employee of an-Officer of the House, complete item below.) 6° >. #

Position Number If applicable; Level_

Date______ May 10 197k ee 3 .
“ampere : . "(Signature of Authorizing Official) -
ra
: _<. outs Stokes
: . a {Type or print name-of Authorizing Official) ~
an: ee
ae : . (Title—If Member, District and Stote)

A appointments: and salary adjustments: for-employees* under thé: House ‘Classification “Act and. for: Cornmitteéem=

Choirman, Committee on House. Administration:

Office of Finance use only: -

Office Code.

Copy for initiating Office or Committee

t :
MeGlctiTh Siento ites ative hae eR ia cha abr ue Salat EEE Seria oe Ei TE el

a ployees, except:those of the Committee-on: Appropriations, the Committee ‘on: vther Budget,¢ and: the Joint Committees; must es sek
be approved: by the Committee on House Administration: 8 8). eT et ea be
_ APPROVED:

. a . ~
a : aot . ee . ot
Oe ws 3S he anh coe bee .
te EOL NOOSA? eV nT | Or Ro VS El CELE ee DOE Oe

ROCs Sareea TALEO OUST RE SM SEER SCE OREN OEIC ENTE SORT AWE PUTELLNEE SPC Es SEMETRIS RRO NSE A AN SEAT MOE RT Re POs OO

healed ce Sedan ht haiti

“

BE ca Secchatliveneaet eS Lo


pape a ae wae ee ee ee ee

| NW 88326 we
| Docld:32243276 Page 12 :

PAYROLL AUTHORIZATION ‘FORM : .
(Please Use Typewriter... © U:S. HOUSE OF. REPRESENTATIVES: - (Any erasures, corrections, or changes.

or Ballpoint Pen) Washington, D.C. 20515 | an this form ust Y" initialed by the

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

Employee Name (First- Middle Last) me - Effective Date
5. “Jonathan Blackmer . art

Employee Social Security Number a ce Type of Action

243 74 8787

LJ Appointment

Employing Office or Committee . Ugsalary Adjustment

| Termination (At close of business on effective date)

Assassinations

(If type of action is an Appointment or Salary Adjustment, complete the following information.)

Position Title Gross Annual Salary

_(If Committee Employee, complete appropriate item below.)

me 7 Standing Committee: Staff—(_] Clerical or [_] Professional.

2. Lyl Special or Select Committee: Authority—H. Res. 465 ___of_ 95EHCongress

3. CO Joint Committee.

(If Employee of an. Officer of the House, complete item below.)

Position Number If applicable, Level _

a Bae
ae
SOME ram neta:

(Signature of Authorizing Official)

a
“louis Stokes

(Type or print name of Authorizing Official) -

an Chairman

{Title— If Member, District and State}

All appointments. and-salary adjustments for employees under the House -Classification. Act and for Committee em--::.
cx ployees, except those of the Committee on Appropriations, the Committee: on the: Budget,.and theJoint Committees, must. -

be approved by the Committee on House Administration. —

APPROVED:

Chairman, Committee on House Administration

Office of Finance use only:.

Office Code

Copy for initiating Office or r Committee re

mee.

i
4 : oy aagtty ” : ot ee BO a ae |
Wits ants les Sale EE heidi asc hay ea Rage COMER A date ean ta Sein oe Lica antadate Da tae tate Rie dee wach

ERE Ie TTI Pea NENE SN SOO CEN ET

iE eR CoE Ce

wi : oe,
Pe date A pete eek ate, aa enatttaee L o,

. ot te ey
wR ata! la Ts end 1s Lian Sect dete

Scena anni ata

bout . ty ow
UE ee SELECT ESC

ae : ‘
whan iE en neat ete oh ta Nadeau

wobeltede

|
|
!
:
|

| Docid:32243276 Page 13

authorizing official.)
To the Clerk of the House of Representatives:-

| hereby authorize the following payroll action: °

“Employee Name (First-Middle-Last) |. -._~ Effective Date
| s. Jonathan Blacker |
Employee Social Security. Number Boe . 7 a : Te Type of Action ;
243-74-5787

[] Appointment

. Employing Office or r Committee ~~ cae Salary Adjustment.
Select Committee on Assassinations

C] Termination (At close of business on effective date)

(If type of action is an Appointment or Salary Adjustment, complete the following information.)

Position Title 7 7 7 l a Gross Annual Salary _ 7 -

(If Committee Employee, complete appropriate item below.)

1. . Standing Committee: Staff—[_] Clerical or [_] Professional. »

- 95
2. _ Special or Select Committee: Authority—H. Res. a __of__ Congress.

3. [_] Joint Committee.

_« (IF Employee:of an’ Officer of the House, complete item below.) wee

Position Number____ lf applicable, Level_- Step_____:_. :

-. cb certify that - this .authorization \.is- not-:-ins-violation. of =5. -U:S.C.: 3110{b),” prohibiting the employment: of .-

relatives.

Sarg. of Authorizing Official)

Henry B. “gens

{Type or Prints name of Authorizing Official) -

Chain rina

» All appointments: dnd. .salary:adjustments for employee's: under: the ‘House. Classification. Act. and’ fér-Comniittee. em- ’
s mployens: except those.of. the Committee’on: Appropiiations, the Committee ‘on. the Budget; and the: Joint ‘Committees, nust

be-approved by the-Committee on House:Administration.: °° Ft
re ce APPROVED: oe _
a ae ; Bs oe toe ae ; - Chairman, Committee on House’ Administration vote

Office of Finance use-only: °

Office Code:

Copy for Initiating Office or Committee .
mo ; _— ce To
Nw 88326 Coe

- te , . He ae So . ae, ‘ 7 ro oye as . oo —_ . + .
dh Sa ahha sa deeb os bel tie eet eet ales i nietiehh Marl tas Bu hea oe

!
~- PAYROLE AUTHORIZATION FORM cs
- «(Please Use Typewriter’ © - OU. S. HOUSE OF | REPRESENTATIVES” _ (Any-erasures,: corrections, or changes -~ =

~ or Ballpoint Pen) Washington, D.C. 20515 . on this form must be ‘initialed -by the

ite add ali iat iid aay iee

fedodites pan Seite et yet, Mantle ac decyd only
AGA Veto dh toi fe ako RISA ane th

piatiiaegte ald. doh

Ai ait sie oR al

. ’ € whe get Nae tt gee “ ~ on
bet at pe Dit gee a 2 a ge ge Tae
Cosas ia ee tea Ld Se, cere 2 ae et erty 2

PAYROLL AUTHORIZATION FORM - ’, | ° of

i ~ (Please-Use Typewriter ” - ‘U.S. HOUSE OF REPRESENTATIVES ™ (Any erasures, corrections, or changes: _
or Ballpoint Pen) . - ‘Washington, D.C. 20515 oN om this form must Y" initialed by the
: To the Clerk ‘of the House of Representatives: | A
| | hereby authorize the following payroll action: . .
Employee Name (First-Middle-Last) © _. Effective Date
| | So donethan Bleckmer Lg pg Oo Cp

. . Employee Social Security Number ~ Type of Action

(-] Appointment

ical Salary Adjustment

—

-! Termination (At close of business on effective date)

oe —
(If Committee Employee, complete appropriate item below.)

wo Standing Committee: Staff—[_] Clerical or] Professional.

23 8 ha deh \
2. ia Special or Select Committee: Authority— H. Res it ___of_#+tF Congress. . \
3.0 Joint Committee.
Uf Employee of ah Officer of the House, complete item: below.) 7 : . at Ne

‘ ~~

Position Number. If opplicable, Level

Step______-. .

; : v
| certify that this .authorization’.is not in violation. of 5 U.S.C. 3110(b), prohibiting the employment. of

i
|
relatives. |
egey
|
| Date (9 |
' . ’ : ‘ 5 : . (Signature of Authorizing Official) 1
| | . Haney B, Soazelez |
~ Type or print name of Authorizing Official) eo
Chalraan .
Oe Title =f Mem ber, District and State) ye ~

All. appointments and salary adjustments for employees under. the House Classification: Act. and for Committee em-..

~=ployees, except thosevof the Committee on. Appropriations, the -Gommittee -on the. Budget, and -the Joint Committees, must + 7
- be approved. by the Committee on: House Administration: . . = =. | ‘

APPROVED:.___.--

A L . - - Chairman, Committee on House Administration 7 “4 :

Office of Finance use only:

Office Code”_.

Copy for Initiating Office or Committee : a, oo |

a . ad

| NW 88326 I |
| Docld:32243276 Page 14 : / |


sf
ya
Hi
{
i
|

PAYROLL AUTHORIZATION FORM. -_ . _—

Position Title —

, - |
(Please Use Typewriter” co U. S. ‘HOUSE OF “REPRESENTATIVES: «. ss (Any erasures, corrections, or changes: i
Wa . > on this form: must-be~initialed- bythe am ood
or Ballpoint Pen) .. Washington, D.C. 20515" ‘authorizing official.) |
~~ ; : L {
To the Clerk of the House of Representatives: _
| hereby authorize the following payroll action: |
| Employee Name (First-Middle-Last) ; Effective Date |. ||
, — —
i
“Tyne of Action |
“ oO Appeintenen |
uo, ~ 4
Employing Office or Committee EF] Salary Adjustment - Jo 4 |
“ 524 eet Comeftiee on Assass dna tions LJ Termination (At ‘ of business on effective date} |
|
H
t
|

Le, ;
(If Committee Employee, complete appropriate item below.) re
. , — | 7
1 Standing Committee: Staff “A Clerical or LI Professional. ; - |
2: (| Special or Select Committee: Autharity- H. Res. "Congress. OT , C od \
3. [ ] Joint'Committee. ee : ee , . ue, |
(If Employee of an Officer of the House, complete item below.) . - ‘ane
-Position.Number____________-__If ‘Gpplicable, Level Step ee C8
|. certify: that this authorization is not. in. violation of 5- U.S.C.- 3110(b), prohibiting the employment of
relatives. ‘ . i
|
|
: cor |
- Alk appointments and salary adjustments for.employees under the House Classification Act and for Committee em- - . | ee
ployees,-except those: of the Committee on Appropriations, the Committee on’ the ‘Budget, and the. Joint Committees, must | 7
be approved by the Committee on House Administration. ‘
- H 1
; APPROVED! - i |
NN ~ - Chairman, Committee on House Administration | '
L “ |
| Office of Finance use only: .
. _ 1
- Office Code |
|
{
“ “
{
4
| hw 88326 Prt

Docld:32243276 Page 15

At Committee Employee, complete appropriate item: below) noe ad oe ws = _ . . : - a -5 16 BM a. ur

Stabe, approved by the Committee on House Administration. wet in oO oN Sore AS A ;

(Phe ceases es mooie’ U0. MUVOE Ur ROP NCOLNTATIYCS © ae L Zo b th
or Ballpoint Pen}, Washington, D.C.20515. On Us tori must Be initialed y the

Oo petneriing official. yo

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action: Cue

| = Employee Name (First-Middle-Last) = =e 7 _ Effective Date .

| Sidney Jonathan Cole Blackmer —S—~S|s—(s—SséSw November’ 2, 1976

. Employee Social Security Number —- oe Type of Action

| -9A3-74-5787 : _ _ . re ; ey Appointment cee

| Employing Office or Committee U. Salory Adjustment. he 7 |
7 | oa ~t Termination (At close of business on effective date}

| Select Committee on Assassinations mo ms

(If type of action isan Appointment or Salary Adjustment, complete the following information,

Position Title . Gross Annual Salary

$15, 000.

Staff counsel

OFFIC er.
a hoe Le

1. ny Standing Committee: Staff Oo Clerical c or{ ] Professional. ; rae ; : Hos R, FINANCE

— 2. Special or Select Committee: Authority H, Res. 1540 194 Congres

3.4 Joint Committee.

Uf Employee of an Officer of the House, complete item below) Dee . | | _ os a .

| eee BOE Ba a “575 maar
Position Number lf applicable, Level a ae :

. 7 certify” ‘that this authorization is not in Violatien of : 5 U.S.C. (b), sober snciitnent of nS

relatives. \ er mo ere ee

(Signature. of Authorizing Cricicl]
Thomas N. Downi ng

‘(Type or print acme of : tuthorizing CHicicly

Chairman

Ail appointments and salary adjustments for employees under the House Classification Act and for Committee. em-_
uployees, except those of the Committee on Appropriations, the Committee on the Budge t, and the 4 Joint Committees, must

pe - APPROVED: ae oe : af

sod
a
fot
et

Office of Finance use only:

Office Code.

SHice (For oiticial person


DATE: January 3, 1977...

MEMORANDUM

TOr All Stafé Employees _

FROM: © Budget ‘Officer a

ORE: Payroll certification

Starting with the January, 1977 payroll, the certification
to ‘the House Finance Office requires, among other things, the
relationship, if any, of each staff employee to any current

... Member of Congress» (those taking office January 3, 1977).

The following are the relationships to be. included in.

“the certification:

. father
mother
son

_ daughter
“*, brother.
sister
uncle

aunt =o;
first cousin

nephew
niece

husband -

wife |
father-in-law.

mother-in-law |°

son-in-law

* daughter-in-law —

brother-in-law
sister-in-law
_ stepfather
- stepmother. —
stepbrother —

stepsister —-
half-brother

half-sister

All staff employees are requested to “complete this”

form and return. it to the Budget officer.

- approved |
Richard A. Sprague”

“I am not related jp Le

“T- am related by

| Docid:32243276 Page 17

ERNE yt sRta ria eee a

—_

if i

i 4

| :
\
\

| '


